NIH Public Access Author Manuscript Am J Manag Care. Author manuscript; available in PMC 2014 June 27.
NIH-PA Author Manuscript
Published in final edited form as: Am J Manag Care. ; 19(10): e348–e358.
Outcomes Among Chronically Ill Adults in a Medical Home Prototype David T. Liss, PhD, Paul A. Fishman, PhD, Carolyn M. Rutter, PhD, David Grembowski, PhD, Tyler R. Ross, MA, Eric A. Johnson, MS, and Robert J. Reid, MD, PhD Division of General Internal Medicine and Geriatrics (DTL), Northwestern University, Chicago, IL; Group Health Research Institute (DTL, PAF, CMR, DG, TRR, EAJ, RJR), Seattle, WA; Department of Health Services (PAF, CMR, DG, RJR), University of Washington, Seattle, WA; Department of Biostatistics (CMR), University of Washington, Seattle, WA
Abstract NIH-PA Author Manuscript
Objectives—To compare quality, utilization, and cost outcomes for patients with selected chronic illnesses at a patient-centered medical home (PCMH) prototype site with outcomes for patients with the same chronic illnesses at 19 nonintervention control sites. Study Design—Nonequivalent pretest-posttest control group design. Methods—PCMH redesign results were investigated for patients with preexisting diabetes, hypertension, and/or coronary heart disease. Data from automated databases were collected for eligible enrollees in an integrated healthcare delivery system. Multivariable regression models tested for adjusted differences between PCMH patients and controls during the baseline and follow-up periods. Dependent measures under study included clinical processes and, outcomes, monthly healthcare utilization, and costs.
NIH-PA Author Manuscript
Results—Compared with controls over 2 years, patients at the PCMH prototype clinic had slightly better clinical outcome control in coronary heart disease (2.20 mg/dL lower mean lowdensity lipoprotein cholesterol; P
NIH-PA Author Manuscript
Published in final edited form as: Am J Manag Care. ; 19(10): e348–e358.
Outcomes Among Chronically Ill Adults in a Medical Home Prototype David T. Liss, PhD, Paul A. Fishman, PhD, Carolyn M. Rutter, PhD, David Grembowski, PhD, Tyler R. Ross, MA, Eric A. Johnson, MS, and Robert J. Reid, MD, PhD Division of General Internal Medicine and Geriatrics (DTL), Northwestern University, Chicago, IL; Group Health Research Institute (DTL, PAF, CMR, DG, TRR, EAJ, RJR), Seattle, WA; Department of Health Services (PAF, CMR, DG, RJR), University of Washington, Seattle, WA; Department of Biostatistics (CMR), University of Washington, Seattle, WA
Abstract NIH-PA Author Manuscript
Objectives—To compare quality, utilization, and cost outcomes for patients with selected chronic illnesses at a patient-centered medical home (PCMH) prototype site with outcomes for patients with the same chronic illnesses at 19 nonintervention control sites. Study Design—Nonequivalent pretest-posttest control group design. Methods—PCMH redesign results were investigated for patients with preexisting diabetes, hypertension, and/or coronary heart disease. Data from automated databases were collected for eligible enrollees in an integrated healthcare delivery system. Multivariable regression models tested for adjusted differences between PCMH patients and controls during the baseline and follow-up periods. Dependent measures under study included clinical processes and, outcomes, monthly healthcare utilization, and costs.
NIH-PA Author Manuscript
Results—Compared with controls over 2 years, patients at the PCMH prototype clinic had slightly better clinical outcome control in coronary heart disease (2.20 mg/dL lower mean lowdensity lipoprotein cholesterol; P
